Another protein question!

It has been a while, but I am back on.   First, background:  I am 6 months out from RNY.  I am 10 lbs from where the "charts" say I should be to be under 25 BMI.  Mostly everything is great.   As a routine I drink a 12 oz protein drink every morning.  It is Whey protein with very little sugar (3g) and very little carbs in general, about 220 calories + skim milk.  One serving is 56 grams of protein. Up until about a month or so ago, things were great.  Then I started having "dumping" like symptoms, nauseous and dizzy, about 15 minutes afterward.  I was surprised because it hasn't happened before.  I thought it might be the milk, so I started mixing it with water instead.  It seemed better, but now I am getting the same thing again even when mixed with water.  It can't be the fat, or sugar-there is virtually none.  I don't usually dump at all unless I have a ton of sugar.   Would consuming this much (56 grams) of protein in one sitting cause this?  Is it good to have that much at once? Is it because I am 75 lbs lighter? I eat other protein, but this is a majority of what I consume in a day.  Should I be doing something else?   Thanks for your advice! 

Since dumping is claimed to be due to the rapid entry of a hyperosmolar mixture (i.e., more concentrated than body fluids) directly from the pouch into the jejunum, it makes sense that a protein drink (???56??? grams of protein) could cause this.  I'm not claiming that that's the culprit, but it seems like a reasonable guess. It might be a good idea to try a protein drink with only 20-or-so grams of protein in a serving, and see if you still have symptoms.  It could also be late-onset post-op lactose intolerance, though the rapidity of the symptoms after you drink make that less  likely--do you react to other dairy products? It's probably convenient (and I love convenient), but most nutritionists would claim that you should try getting the majority of your daily protein requirements from food, and use protein drinks only as supplements, rather than vice-versa. /Steve

I don't have the answer to your question, but you might wantt to try using protein bars for a while.  Problems with digesting whey usually go away unless you're born with that problem.  I'd suggest the Atkins bars, but I've seen posts here in the past for bars sold at Wall Mart.

Hey Brad... this is a puzzle....foobear (don;t you just love his new pic) may have a portion of the answer.... it could be the concentration....are you gulping>>>> is part of this air swallowing..... it may just be as simple as it's time to move on from the protein shakes... if it only happens with the  shakes....get something to chew... I know....new territory.... Russ

I am still at the sipping stage, or maybe smaller gulps, but no, I don't gulp this down.  I swallow 12 oz in about 10 minutes. 

Hopefully foobear will respond too.  Thanks.

 

Another possibility:

These protein shakes don't necessarily *have* to have a large quantity of water mixed in with them. If the water is pushing thing through too fast, just mix the powder with a small coffee cup of water (make an elixir) and drink it. Get your water intake either 15 minutes before or a couple of hours after that.

My own opinion is, if water causes malabsortption in RNY's, then why mix it with your protein?

An elixir is an alcoholic solution.  I can just see it: Take:     4 ounces of vodka     2 scoops of Unjury or Designer Whey powder     Mix (or shake with crushed ice) well.     Strain. Sip until you see two cans of protein powder instead of one! The tip about protein bars might have something to it, if they stay in your pouch longer than a liquid.  That might present less of a shock to your Roux limb and the rest of your gut.   I rely on the South Beach meal replacement bars, though they have only 20 grams of protein. /Steve

Hey Steve,

Just goes to show that I often go so far as to drink elixirs without knowing what's inside. Maybe syrup would be a better word.

The elixir you recommend would help cure other ailments.

Good luck with that uh..."bar"...lol

Dave

How about a Slurry.... Russ

Russ,

Did you mean "promiscuous lady?"

From Wiki:

• A mixture of water and cement to form concrete
• A mixture of water, gelling agent, and oxidiers used as an explosive
• A mixture of water and Bentonite used to make slurry walls
• A mixture of wood pulp and water used to make paper
• A mixture of water and animal waste used as fertilizer
• Meat slurry, a food product
• An abrasive substance used in chemical-mechanical polishing, a semiconductor manufacturing process
• A mixture of ice crystals, water and freezing point depressant, called slurry ice
• A wet-process cement rawmix
• Australian slang for a promiscuous lady.

I could think of a few other "slurries" that happen post (I do mean "post!") WLS, but that would be too much information.

Best Wishes,

Dave